Every finding on record at Compassion Hospice Corp.

Upon patient record review, 1 of 14 (Patient #7) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient 07: The medication profile includes Ivermectin 3mg PO daily for 6 days ordered on 4/15/24. The medication has not been discontinued from the medication profile.

Upon client record review, 1 of 14 (Patient #10) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 10: Skilled nursing visits are ordered for 1 visit per week, the patient received routine visits on 5/21/24 and 5/25/24.

Upon patient record review, 1 of 14 (Patient #14) did not have evidence the hospice offers bereavement counseling that includes: • Making bereavement services available to the family and other individuals in the bereavement plan of care up to 1 year following the death of the patient. Bereavement counseling also extends to residents of a SNF/NF or ICF/IID when appropriate and identified in the bereavement plan of care • Ensuring that bereavement services reflect the needs of the bereaved • Development of a bereavement plan of care that notes the kind of bereavement services to be offered and the frequency of service delivery Patient 14: The patient record does not include documentation that post death bereavement services were offered.

Upon patient record review, 3 of 14 (Patient #3, 6, 9) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable. Patient 03: The hospice aide task assignment for feeding assistance and linen changes does not include a frequency. Patient 06: The hospice aide task assignment for feeding assistance and linen changes does not include a frequency. Patient 09: The hospice aide task assignment includes performing foley catheter care, there is no evidence in the patient record that the patient utilizes a foley catheter.